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Chirwere Cheshuga

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Pfupiso

Diabetes mellitus inoreva boka rezvirwere zvinokanganisa mashandisiro emuviri shuga yeropa (glucose). Glucose ndiyo inonyanya kukosha simba remasero anoita misumbu nemakwinya. Iwowo ndiwo mafuta makuru ehuropi.\n\nChikonzero chikuru chechirwere cheshuga chinowanzosiyana zvichienderana nerudzi. Asi pasinei nerudzi rwechirwere cheshuga rwaunacho, runogona kukonzera shuga yakawandisa muropa. Shuga yakawandisa muropa inogona kukonzera matambudziko emutano akakomba.\n\nZvirwere zvechirwere cheshuga zvinosanganisira chirwere cheshuga chechirudzi 1 nechirwere cheshuga chechirudzi 2. Zvirwere zvechirwere cheshuga zvinogona kudzoreredzwa zvinosanganisira prediabetes ne gestational diabetes. Prediabetes inoitika kana mazinga eshuga yeropa ari pamusoro pemazuva ose. Asi mazinga eshuga yeropa haasi akakwirira zvakakwana kuti adanwe kuti chirwere cheshuga. Uye prediabetes inogona kukonzera chirwere cheshuga kunze kwekunge matanho atorwa kuti idzivirirwe. Gestational diabetes inoitika panguva yekuzvitakura. Asi inogona kupera mushure mekuberekwa kwemwana.

Zviratidzo

Zviratidzo zvechirwere cheshuga zvinoenderana nekuti shuga yako yeropa yakakwirira sei. Vamwe vanhu, kunyanya kana vakava neprediabetes, chirwere cheshuga chepakubata kana chirwere cheshuga chemarudzi maviri, vangave vasina zviratidzo. Muchirwere cheshuga chemarudzi imwe, zviratidzo zvinowanzo kuuya nekukurumidza uye zvakanyanya.

Zvimwe zviratidzo zvechirwere cheshuga chemarudzi imwe nemarudzi maviri ndezvi:

Kunzwa nyota kupfuura zvakajairwa.
Kuenda kuchimbuzi kazhinji.
Kurasikirwa nehuremu pasina kuedza.
Kuvepo kweketoni mumukaka. Ketoni chigadzirwa chekuputsika kwemhasuru nemafuta kunoitika kana pasina insulin yakakwana.
Kunzwa kuneta uye kushaya simba.
Kunzwa kutsamwa kana kuve nemamwe marudzi echimiro.
Kuona kusapfava.
Kuve nemaronda anononoka kupora.
Kuwana hutachiona hwakawanda, sekunge gum, ganda nehutachiona hwemukadzi.

Chirwere cheshuga chemarudzi imwe chinogona kutanga pazera ripi zvaro. Asi kazhinji kazhinji kutanga panguva yehudiki kana makore echidiki. Chirwere cheshuga chemarudzi maviri, rudzi runowanzoitika, runogona kukura pazera ripi zvaro. Chirwere cheshuga chemarudzi maviri chakajairika muvanhu vakuru kupfuura makore makumi mana. Asi chirwere cheshuga chemarudzi maviri muvana kuri kuwedzera.

Nguva yekunoona chiremba

Kana uchifunga kuti iwe kana mwana wako angave ane chirwere cheshuga. Kana ukaona chero zviratidzo zvingangove zvechirwere cheshuga, taura nachiremba wako. Zvirwere zvinowanzoonekwa pakutanga, kurapwa kunogona kutanga nekukurumidza.\n- **Kana watoongororwa uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge 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uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge

Zvinokonzera

Kuti unzwisise chirwere cheshuga, zvakakosha kunzwisisa kuti muviri unoshandisa sei glucose kazhinji. Insulin ihormone inobva muganda riri kumashure uye pasi pepamuviri (pancreas). Pancreas inoburitsa insulin muropa. Insulin inofamba-famba, ichibvumira shuga kupinda mumasero. Insulin inoderedza huwandu hweshuga muropa. Sezvo huwandu hweshuga muropa huchiderera, kudururwa kwe insulin kubva ku pancreas kunoderedzawo. Glucose — shuga — ndiyo inopa simba kumasero anoita misumbu nemamwe matishu. Glucose inobva kunobva kunzvimbo mbiri huru: chikafu nechiropa. Shuga inopinda muropa, kwaipinda mumasero ne rubatsiro rwe insulin. Chiropa chinotora uye chinoita glucose. Kana mazinga e glucose ari pasi, sekunge usati wadya kwenguva yakareba, chiropa chinoputsa glycogen yakachengetwa kuita glucose. Izvi zvinochengetedza nhanho yako ye glucose mukati merange yakajairwa. Chikonzero chaicho chemarudzi mazhinji eshuga hachizivikanwi. Muzviitiko zvose, shuga inoungana muropa. Izvi zvinokonzerwa nekuti pancreas haiburitsi insulin yakakwana. Zvese chirwere cheshuga chemarudzi maviri, rudzi 1 nerudzi 2 zvinogona kukonzerwa nekusanganiswa kwezvinhu zvemagwenga kana zvakatipoteredza. Hazvina kujeka kuti izvozvo zvinhu zvingave zvei.

Zvinhu zvinokonzera njodzi

Zvinokonzera njodzi ye shuga zvinoenderana nerudzi rweshuga. Nhoroondo yemhuri inogona kutamba basa mune marudzi ese. Zvinhu zvakatipoteredza ne geographical zvinogona kuwedzera njodzi yeshuga ye rudzi rwe 1.

Dzimwe nguva nhengo dzemhuri yevanhu vane shuga ye rudzi rwe 1 vanoongororwa kuti vaone kana vane masero eshuga emuviri (autoantibodies). Kana uine aya autoantibodies, une njodzi yakawedzera yekuwana shuga ye rudzi rwe 1. Asi kwete munhu wese ane aya autoantibodies anowana shuga.

Rudzi kana kuti rudzi rwevanhu runogonawo kuwedzera njodzi yako yekuwana shuga ye rudzi rwe 2. Kunyange zvazvo zvisingaoneki kuti nei, vanhu vamwe — kusanganisira vanhu vatema, vanhu veHispanic, vanhu veAmerica India nevanhu veAmerica veAsia — vari panjodzi yakakura.

Prediabetes, shuga ye rudzi rwe 2 uye shuga yepakati nepamuviri zvakajairika kuvanhu vane uremu hwakawandisa kana kuti vane mafuta akawandisa.

Matambudziko

'Zvinetso zvinogara zvichikonzerwa nechirwere cheshuga zvinoonekwa zvishoma nezvishoma. Kwenguva yakareba une chirwere cheshuga - uye shuga yako yeropa isingadzorwi - njodzi yekukonzerwa nezvinetso inowedzera. Pakupedzisira, zvinetso zvechirwere cheshuga zvinogona kukanganisa kana kutokonzera rufu. Kutaura zvazviri, prediabetes inogona kutungamira kuchirwere cheshuga chemarudzi maviri. Zvinetso zvinogona kuitika zvinosanganisira:\n\n- Chirwere chemwoyo nemidziyo yeropa (cardiovascular). Chirwere cheshuga chinowedzera njodzi yezvinetso zvakawanda zvemoyo. Izvi zvinogona kusanganisira chirwere che coronary artery chine kurwadziwa pachipfuva (angina), kurwisa kwemoyo, kurova kweropa nekukura kwemidziyo yeropa (atherosclerosis). Kana uine chirwere cheshuga, une mukana mukuru wekuve nechirwere chemwoyo kana kurova kweropa.\n- Kukuvadzwa kwetsimba nekuda kwechirwere cheshuga (diabetic neuropathy). Shuga yakawanda inogona kukuvadza masvingo emidziyo midiki yeropa (capillaries) inodyisa matsimba, kunyanya mumitsipa. Izvi zvinogona kukonzera kupenya, kusanzwa, kupisa kana kurwadziwa kunowanzo tanga kumucheto wezvigunwe zvechitsitsinho kana zvigunwe uye zvinoenderera mberi zvichikwira kumusoro.\n\nKukuvadzwa kwetsimba dzine chekuita nekuchinja kwechikafu kunogona kukonzera matambudziko ane manyoka, kurutsa, manyoka kana kuvimbiswa. Kune varume, zvinogona kutungamira pakusakwanisa kuita zvepabonde.\n- Kukuvadzwa kweitsvo nekuda kwechirwere cheshuga (diabetic nephropathy). Itsvo ine mamirioni emidziyo midiki yeropa (glomeruli) inosvina tsvina kubva mweropa. Chirwere cheshuga chinogona kukuvadza iyi sisitimu yekuchinjisa yakaoma.\n- Kukuvadzwa kwemaziso nekuda kwechirwere cheshuga (diabetic retinopathy). Chirwere cheshuga chinogona kukuvadza midziyo yeropa yemeso. Izvi zvinogona kutungamira pakuburwa kwemashoko.\n- Kukuvadzwa kwechitsitsinho. Kukuvadzwa kwetsimba mumitsipa kana kuyerera kweshuga kwakaderera kumitsipa kunowedzera njodzi yezvinetso zvakawanda zvechitsitsinho.\n- Zvinetso zve ganda nemuromo. Chirwere cheshuga chinogona kukusiya uri panjodzi yakawanda yezvinetso zve ganda, kusanganisira hutachiona hwebhakitiriya nefungus.\n- Kusanzwa kwemanzwi. Matambudziko ekusanzwa kwemanzwi anowanzoitika kune vanhu vane chirwere cheshuga.\n- Chirwere cheAlzheimer. Chirwere cheshuga chemarudzi maviri chinogona kuwedzera njodzi yekushaya pfungwa, sekunge chirwere cheAlzheimer.\n\nKukuvadzwa kwetsimba nekuda kwechirwere cheshuga (diabetic neuropathy). Shuga yakawanda inogona kukuvadza masvingo emidziyo midiki yeropa (capillaries) inodyisa matsimba, kunyanya mumitsipa. Izvi zvinogona kukonzera kupenya, kusanzwa, kupisa kana kurwadziwa kunowanzo tanga kumucheto wezvigunwe zvechitsitsinho kana zvigunwe uye zvinoenderera mberi zvichikwira kumusoro.\n\nKukuvadzwa kwetsimba dzine chekuita nekuchinja kwechikafu kunogona kukonzera matambudziko ane manyoka, kurutsa, manyoka kana kuvimbiswa. Kune varume, zvinogona kutungamira pakusakwanisa kuita zvepabonde.\n\nVakadzi vazhinji vane gestational diabetes vanobereka vana vane utano. Zvisinei, kusagadzirwa kana kusadzorwa kweshuga yeropa kunogona kukonzera matambudziko kwauri nekumwana wako.\n\nZvinetso mwana wako zvinogona kukonzerwa ne gestational diabetes, kusanganisira:\n\n- Kukura kwakanyanya. Glucose yakawanda inogona kupfuura placenta. Glucose yakawanda inokurudzira pancreas yemwana kuti iite insulin yakawanda. Izvi zvinogona kukonzera kuti mwana wako akure zvakanyanya. Zvinogona kutungamira pakuberekwa kwakaoma uye dzimwe nguva zvinodiwa neC-section.\n- Shuga yeropa yakaderera. Dzimwe nguva vana veamai vane gestational diabetes vanoita shuga yeropa yakaderera (hypoglycemia) pashure pekuberekwa. Izvi ndizvo nekuti kugadzirwa kwavo kwe insulin kwakakwirira.\n- Chirwere cheshuga chemarudzi maviri gare gare muhupenyu. Vana veamai vane gestational diabetes vane njodzi yakawanda yekuve nehuwandu hwakawanda uye chirwere cheshuga chemarudzi maviri gare gare muhupenyu.\n- Rufu. Gestational diabetes isina kurapwa inogona kutungamira kurufu rwemwana usati waberekwa kana pashure pekuberekwa.\n\nZvinetso kuna amai zvinogona kukonzerwawo ne gestational diabetes, kusanganisira:\n\n- Gestational diabetes. Kana waiva ne gestational diabetes mukuzvitakura kwakati, une mukana mukuru wekuve nayo zvakare nekuzvitakura kwakatevera.'

Kudzivirira

Chirwere cheshuga chemarudzi 1 hachigone kudzivirirwa. Asi kusarudza mararamiro ane hutano kunobatsira kurapa chirwere cheshuga cheprediabetes, chemarudzi 2 uye chepakati pekumimba zvinogona kubatsirawo kudzivirira:

Idya zvokudya zvine hutano. Sarudza zvokudya zvine mafuta mashoma nemakorari uye zvine fiber yakawanda. Tarisa pamichero, miriwo nemagorosi ese. Idya zvakasiyana-siyana kuti urege kunzwa kuneta.
Ita zvemuviri zvakawanda. Edza kuita maminitsi angangoita 30 emashiripiti aerobic zuva nezuva. Kana edza kuwana maminitsi angangoita 150 emashiripiti aerobic pavhiki. Semuenzaniso, famba nekukurumidza zuva nezuva. Kana usingakwanisi kuita kurovedza muviri kwenguva refu, riparadzanise mumakirasi madiki zuva rese.
Deredza uremu hwakawandisa. Kana uri wakakura kupfuura zvakafanira, kurasikirwa kunyange ne7% yeuremu hwemuviri kunogona kuderedza njodzi yechirwere cheshuga. Semuenzaniso, kana uchiyera mapaundi 200 (makirogiramu 90.7), kurasikirwa nemapaundi 14 (makirogiramu 6.4) kunogona kuderedza njodzi yechirwere cheshuga. Asi usambofa wakaedza kurasikirwa neuremu panguva yekuzvitakura. Taura nemupi wako wehutano nezveuremu hwakakodzera kwauri kuwana panguva yekuzvitakura. Kuti uchengetedze uremu hwako munzvimbo ine hutano, shanda pazvinhu zvinogara zvichichinja zvekudya kwako nemaitiro ekurovedza muviri. Yeuka mabhenefiti ekurasikirwa neuremu, senge moyo une hutano, simba rakawanda uye kuzviremekedza kukuru. Deredza uremu hwakawandisa. Kana uri wakakura kupfuura zvakafanira, kurasikirwa kunyange ne7% yeuremu hwemuviri kunogona kuderedza njodzi yechirwere cheshuga. Semuenzaniso, kana uchiyera mapaundi 200 (makirogiramu 90.7), kurasikirwa nemapaundi 14 (makirogiramu 6.4) kunogona kuderedza njodzi yechirwere cheshuga. Asi usambofa wakaedza kurasikirwa neuremu panguva yekuzvitakura. Taura nemupi wako wehutano nezveuremu hwakakodzera kwauri kuwana panguva yekuzvitakura. Kuti uchengetedze uremu hwako munzvimbo ine hutano, shanda pazvinhu zvinogara zvichichinja zvekudya kwako nemaitiro ekurovedza muviri. Yeuka mabhenefiti ekurasikirwa neuremu, senge moyo une hutano, simba rakawanda uye kuzviremekedza kukuru. Dzimwe nguva mishonga inosarudzwa. Mishonga yemukanwa yeshuga senge metformin (Glumetza, Fortamet, nezvimwe) inogona kuderedza njodzi yechirwere cheshuga chemarudzi 2. Asi kusarudza mararamiro ane hutano kunokosha. Kana uine prediabetes, bvunza shuga yeropa rako kamwe chete pagore kuti uone kuti hauna kuwana chirwere cheshuga chemarudzi 2.

Kuongorora

Chiremba wezvinhu zvinobudiswa muviri Yogish Kudva, M.B.B.S., anopindura mibvunzo inonyanya kubvunzwa pamusoro pechirwere cheshuga chemarudzi 1.

Kurapa kwakanakisa kwekushandisa iye zvino pakurwara kweshuga rudzi rweumwe ndiko kushandisa sisitimu inoita kuti insulin igoverwe otomatiki. Sisitimu iyi ine chishandiso chinoramba chichiongorora shuga yeropa, pombi yeinsulin, uye komputa algorithm inogara ichichinja insulin ichipindura kune chiratidzo chinoramba chichiongorora shuga yeropa. Murwere anofanira kuisa ruzivo pamusoro pehuwandu hwe carbohydrate yaanodya panguva dzekudya kuti ape insulin inobatanidzwa nechikafu.

Kuongorora uchishandisa glucose meter hakukwana nekuti kuyerwa kweshugar yeropa muvanhu vane chirwere cheshuga rudzi rweumwe, kunochinja kubva kune yakajairwa kusvika pasi uye yakajairwa kusvika pamusoro nekukurumidza mukati mezuva, chishandiso chinoramba chichiongorora shuga yeropa chinoda kuona kana kurapa kuri kushanda uye zvakare kuona kuti ungavandudza sei kurapa.

Mirayiridzo yezvino inokurudzira kushandiswa kwechishandiso chinoramba chichiongorora shuga yeropa. Muzana we nguva inopedzerwa zuva nezuva neshuga iri pakati pe 70 ne 180 milligram pa deciliter ndicho chiyero chikuru chekurapa kwakakodzera. Muzana uyu unofanira kunge uri 70% kana kupfuura zuva nezuva. Uyezve, muzana we nguva inopedzerwa neshuga iri pasi pe 70 inofanira kunge iri pasi pe mana muzana uye yakakura kupfuura 250 inofanira kunge iri pasi pe mashanu muzana. Zviri pachena kuti, hemoglobin A1C kuongorora kuti uone kukwana kwe kurapa hakukwana.

Pavanhu vamwe vane chirwere cheshuga rudzi rweumwe, kusimudzirwa kunogona kuitwa. Izvi zvinogona kunge kuri kusimudzirwa kwe pancreas kana kusimudzirwa kwema cell anogadzira insulin anonzi islet. Kusimudzirwa kwe islet kunofungwa kunge kuri tsvagiridzo muUS. Kusimudzirwa kwe pancreas kuripo se kurapa kwevanhu vose. Varwere ava vane hypoglycemia unawareness vanogona kubatsirwa nekusimudzirwa kwe pancreas. Vanhu vane chirwere cheshuga rudzi rweumwe vanowana diabetic ketoacidosis kazhinji vanogona kubatsirwawo nekusimudzirwa kwe pancreas. Vanhu vane chirwere cheshuga rudzi rweumwe vakawana kukundikana kweitsvo, vanogona kuchinja hupenyu hwavo nekushandurwa kwe pancreas neitsvo.

Edza kuziva nezvekutsvagisa kuri kuitwa uye kurapa kunogona kubvumidzwa pakurwara kweshuga rudzi rweumwe. Unogona kuwana ruzivo urwu kuburikidza nemabhii aripo atovapo. Ita shuwa kuti kanenge kamwe pagore unoona chiremba ane ruzivo pamusoro pechirwere chako. Usambofa wakashamisika kubvunza timu yako yekurapa chero mibvunzo kana zvinokunetsa zvaunazvo. Kuva nezivo kunoita musiyano wose. Tinokutendai nekanguva kwenyu uye tinokushuvirai zvakanaka.

Zviratidzo zvechirwere cheshuga rudzi rweumwe kazhinji zvinovamba kamwe kamwe uye kazhinji ndicho chikonzero chekuongorora mazinga eshuga yeropa. Nekuti zviratidzo zvemamwe marudzi eshuga uye prediabetes zvinouya zvishoma nezvishoma kana kuti zvingave zvakaoma kuona, American Diabetes Association (ADA) yakagadzira mirayiridzo yekuongorora. ADA inokurudzira kuti vanhu vanotevera vaongororwe kuti vaone kana vane chirwere cheshuga:

Munhu wese ane makore anopfuura makore 35 anorayirwa kuti aongororwe shuga yeropa kekutanga. Kana mhinduro dzakajairwa, vanofanira kuongororwa makore matatu ega ega mushure meizvozvo.
Vakadzi vakambowana gestational diabetes vanorayirwa kuti vaongororwe chirwere cheshuga makore matatu ega ega.
Munhu wese akamboonekwa ane prediabetes anorayirwa kuti aongororwe gore rega rega.
Munhu wese ane HIV anorayirwa kuti aongororwe.
A1C bvunzo. Bvunzo iyi yeropa, isingadi kuti urege kudya kwechinguva (fasting), inoratidza avhareji yeshuga yeropa yako yemwedzi miviri kusvika mitatu yapfuura. Inoyera muzana weshuga yeropa yakabatanidzwa ne hemoglobin, puroteni inotakura oksijeni muma cell matsvuku eropa. Inonziwo glycated hemoglobin bvunzo.

Kana mazinga eshuga yeropa ako akakwirira, hemoglobin yakawanda ichave neshuga yakabatanidzwa. A1C level ye 6.5% kana kupfuura mu bvunzo mbiri dzakasiyana zvinoreva kuti une chirwere cheshuga. A1C iri pakati pe 5.7% ne 6.4% zvinoreva kuti une prediabetes. Pasi pe 5.7% inofungwa kunge yakajairwa.
Random blood sugar bvunzo. Sampuli yeropa ichaitwa panguva isingatarisirwi. Pasinei nekuti wakapedzisira kudya riini, shuga yeropa ye 200 milligrams pa deciliter (mg/dL) — 11.1 millimoles pa liter (mmol/L) — kana kupfuura inoratidza chirwere cheshuga.
Fasting blood sugar bvunzo. Sampuli yeropa ichaitwa mushure mekunge usina kudya chero chinhu usiku hwapfuura (fast). Fasting blood sugar level iri pasi pe 100 mg/dL (5.6 mmol/L) yakajairwa. Fasting blood sugar level kubva pa 100 kusvika ku 125 mg/dL (5.6 kusvika ku 6.9 mmol/L) inofungwa kunge prediabetes. Kana iri 126 mg/dL (7 mmol/L) kana kupfuura mu bvunzo mbiri dzakasiyana, une chirwere cheshuga.
Glucose tolerance bvunzo. Kune bvunzo iyi, unofanira kusadya husiku hwese. Zvadaro, fasting blood sugar level inoyerwa. Wobva wanywa mvura ine shuga, uye mazinga eshuga yeropa anorongwa nguva dzose kwemaawa maviri anotevera.

Shuga yeropa iri pasi pe 140 mg/dL (7.8 mmol/L) yakajairwa. Kuverenga kwakapfuura 200 mg/dL (11.1 mmol/L) mushure memaawa maviri zvinoreva kuti une chirwere cheshuga. Kuverenga kuri pakati pe 140 ne 199 mg/dL (7.8 mmol/L ne 11.0 mmol/L) zvinoreva kuti une prediabetes.

A1C bvunzo. Bvunzo iyi yeropa, isingadi kuti urege kudya kwechinguva (fasting), inoratidza avhareji yeshuga yeropa yako yemwedzi miviri kusvika mitatu yapfuura. Inoyera muzana weshuga yeropa yakabatanidzwa ne hemoglobin, puroteni inotakura oksijeni muma cell matsvuku eropa. Inonziwo glycated hemoglobin bvunzo.

Kana mazinga eshuga yeropa ako akakwirira, hemoglobin yakawanda ichave neshuga yakabatanidzwa. A1C level ye 6.5% kana kupfuura mu bvunzo mbiri dzakasiyana zvinoreva kuti une chirwere cheshuga. A1C iri pakati pe 5.7% ne 6.4% zvinoreva kuti une prediabetes. Pasi pe 5.7% inofungwa kunge yakajairwa.

Glucose tolerance bvunzo. Kune bvunzo iyi, unofanira kusadya husiku hwese. Zvadaro, fasting blood sugar level inoyerwa. Wobva wanywa mvura ine shuga, uye mazinga eshuga yeropa anorongwa nguva dzose kwemaawa maviri anotevera.

Shuga yeropa iri pasi pe 140 mg/dL (7.8 mmol/L) yakajairwa. Kuverenga kwakapfuura 200 mg/dL (11.1 mmol/L) mushure memaawa maviri zvinoreva kuti une chirwere cheshuga. Kuverenga kuri pakati pe 140 ne 199 mg/dL (7.8 mmol/L ne 11.0 mmol/L) zvinoreva kuti une prediabetes.

Kana chiremba wako achifunga kuti ungave une chirwere cheshuga rudzi rweumwe, anogona kuongorora wee wee yako kuti aone kana paine ketones. Ketones ndicho chinhu chinobudiswa kana tsandanyama nemafuta zvichishandiswa simba. Chiremba wako zvakare angaita bvunzo kuti aone kana une ma cell ekutsvaira masisitimu emuviri anobatanidzwa nechirwere cheshuga rudzi rweumwe anonzi autoantibodies.

Chiremba wako angangoda kuona kana uri panjodzi yakakura ye gestational diabetes pakutanga kwekumisikidzwa kwako. Kana uri panjodzi yakakura, chiremba wako anogona kuongorora chirwere cheshuga pakuona kwako kwekutanga kwekumisikidzwa. Kana uri panjodzi yakajairwa, ungangoda kuongororwa panguva yekumisikidzwa kwako kwechipiri.

Kurapa

Zvichienderera nerudzi rwechirwere cheshuga rwaunacho, kuongororwa kweshuga yeropa, insulin uye mishonga yemukanwa zvinogona kuva chikamu chekurapa kwako. Kudya kudya kwakanaka, kugara une uremu hwakakodzera uye kuita zvemitambo nguva dzose zvakakoshawo mukutonga chirwere cheshuga. Chikamu chakakosha chekutonga chirwere cheshuga - pamwe nehutano hwako hwese - kuchengeta uremu hwakakodzera kuburikidza nekudya kwakanaka uye purogiramu yekurovedza muviri:\n- Kudya kwakanaka. Kudya kwako kwechirwere cheshuga kungori purogiramu yekudya kwakanaka ichakubatsira kudzora shuga yeropa rako. Uchada kuisa pfungwa yako pakudya kwakawanda kwemichero, miriwo, mapuroteni mashoma mafuta uye zviyo zvizere. Aya ndiwo mazai ane zvinovaka muviri zvakawanda uye fiber uye ane mafuta mashoma nemakorari. Uchachekawo mafuta asina kunaka, makabhohaidhiretsi akasvibiswa nezvinonaka. Kutaura chokwadi, iyi ndiyo purogiramu yakanakisa yekudya yemhuri yese. Zvokudya zvine shuga zvakanaka kamwe kamwe. Zvinofanira kuverengwa sechibvumirano chepurogiramu yako yekudya.\nKunzwisisa kuti chii uye kuti ungadye zvakadii kunogona kuva dambudziko. Munyanzvi wekudya anogona kukubatsira kugadzira purogiramu yekudya inokodzera zvinangwa zvako zvehutano, zvaunofarira zvekudya uye mararamiro. Izvi zvinogona kusanganisira kuverenga makabhohaidhiretsi, kunyanya kana uine chirwere cheshuga chemarudzi 1 kana kushandisa insulin sechibvumirano chekurapa kwako.\n- Kuita zvemitambo. Munhu wese anoda kuita zvemitambo ye aerobic nguva dzose. Izvi zvinosanganisira vanhu vane chirwere cheshuga. Kuita zvemitambo kunoderedza huwandu hweshugar yako yeropa nekufambisa shuga mumaseli ako, kwaishandiswa simba. Kuita zvemitambo kunonyanya kuita kuti muviri wako uve ne insulin. Izvi zvinoreva kuti muviri wako unoda insulin shoma kutakura shuga kumaseli ako.\nTora mvumo yemupi wako wehutano kuti uite zvemitambo. Wobva wasarudza mabasa aunofarira, senge kufamba, kushambira kana kukwira bhasikoro. Chinonyanya kukosha ndechekuita kuti kuita zvemitambo kuve chikamu chezuva nezuva rako.\nChinangwa chemaminitsi anenge makumi matatu kana kupfuura ekuita zvemitambo zvine simba mazuva mazhinji evhiki, kana maawa anenge 150 ekuita zvemitambo zvine simba pavhiki. Zvikamu zvekuita zvemitambo zvinogona kuva maminitsi mashoma mukati mezuva. Kana usati wamboita zvemitambo kwenguva yakareba, tanga zvishoma nezvishoma uye uvakire zvishoma nezvishoma. Usagara kwenguva yakareba. Edza kumuka ufambe kana wakagara kweanopfuura maminitsi makumi matatu.\nKudya kwakanaka. Kudya kwako kwechirwere cheshuga kungori purogiramu yekudya kwakanaka ichakubatsira kudzora shuga yeropa rako. Uchada kuisa pfungwa yako pakudya kwakawanda kwemichero, miriwo, mapuroteni mashoma mafuta uye zviyo zvizere. Aya ndiwo mazai ane zvinovaka muviri zvakawanda uye fiber uye ane mafuta mashoma nemakorari. Uchachekawo mafuta asina kunaka, makabhohaidhiretsi akasvibiswa nezvinonaka. Kutaura chokwadi, iyi ndiyo purogiramu yakanakisa yekudya yemhuri yese. Zvokudya zvine shuga zvakanaka kamwe kamwe. Zvinofanira kuverengwa sechibvumirano chepurogiramu yako yekudya.\nKunzwisisa kuti chii uye kuti ungadye zvakadii kunogona kuva dambudziko. Munyanzvi wekudya anogona kukubatsira kugadzira purogiramu yekudya inokodzera zvinangwa zvako zvehutano, zvaunofarira zvekudya uye mararamiro. Izvi zvinogona kusanganisira kuverenga makabhohaidhiretsi, kunyanya kana uine chirwere cheshuga chemarudzi 1 kana kushandisa insulin sechibvumirano chekurapa kwako.\nKuita zvemitambo. Munhu wese anoda kuita zvemitambo ye aerobic nguva dzose. Izvi zvinosanganisira vanhu vane chirwere cheshuga. Kuita zvemitambo kunoderedza huwandu hweshugar yako yeropa nekufambisa shuga mumaseli ako, kwaishandiswa simba. Kuita zvemitambo kunonyanya kuita kuti muviri wako uve ne insulin. Izvi zvinoreva kuti muviri wako unoda insulin shoma kutakura shuga kumaseli ako.\nTora mvumo yemupi wako wehutano kuti uite zvemitambo. Wobva wasarudza mabasa aunofarira, senge kufamba, kushambira kana kukwira bhasikoro. Chinonyanya kukosha ndechekuita kuti kuita zvemitambo kuve chikamu chezuva nezuva rako.\nChinangwa chemaminitsi anenge makumi matatu kana kupfuura ekuita zvemitambo zvine simba mazuva mazhinji evhiki, kana maawa anenge 150 ekuita zvemitambo zvine simba pavhiki. Zvikamu zvekuita zvemitambo zvinogona kuva maminitsi mashoma mukati mezuva. Kana usati wamboita zvemitambo kwenguva yakareba, tanga zvishoma nezvishoma uye uvakire zvishoma nezvishoma. Usagara kwenguva yakareba. Edza kumuka ufambe kana wakagara kweanopfuura maminitsi makumi matatu.\nKurapa kwechirwere cheshuga chemarudzi 1 kunosanganisira kuiswa kwe insulin kana kushandiswa kwepombi ye insulin, kuongororwa kweshugar yeropa kazhinji, uye kuverenga makabhohaidhiretsi. Kune vamwe vanhu vane chirwere cheshuga chemarudzi 1, kupandikirwa kwe pancreas kana kupandikirwa kwemasero e islet kunogona kuva sarudzo. \nKurapa kwechirwere cheshuga chemarudzi 2 kunonyanya kusanganisira kuchinja mararamiro, kuongororwa kweshugar yeropa rako, pamwe nemishonga yemukanwa ye chirwere cheshuga, insulin kana zvose zviri zviviri. \nZvichienderera nepurogiramu yako yekurapa, unogona kuongorora uye kunyora shuga yako yeropa kanopfuura kana kupfuura kana uri kutora insulin. Kuongororwa kwakanyatsojeka kweshugar yeropa ndiyo nzira chete yekuita shuwa kuti huwandu hweshugar yeropa rako hunoramba uri mukati mechinangwa chako. Vanhu vane chirwere cheshuga chemarudzi 2 vasina kutora insulin vanonyanya kuongorora shuga yavo yeropa kazhinji.\nVanhu vanowana kurapwa kwe insulin vanogona kusarudza kuongorora huwandu hweshugar yavo yeropa ne continuous glucose monitor. Kunyange hazvo tekinoroji iyi isati yasvika pakutsiva zvachose glucose meter, inogona kuderedza nhamba yezvigunwe zvinodiwa kuongorora shuga yeropa uye kupa ruzivo rwakakosha nezve maitiro ehukuru hweshugar yeropa.\nKunyangwe nehutongi hwakanyatsojeka, huwandu hweshugar yeropa hunogona dzimwe nguva kuchinja zvisingatarisirwi. Nekubatsirwa kubva kune timu yako yekurapa chirwere cheshuga, uchadzidza kuti huwandu hweshugar yeropa rako hunochinja sei semhinduro yekudya, kuita zvemitambo, mishonga, chirwere, doro uye kushushikana. Kune vakadzi, uchadzidza kuti huwandu hweshugar yeropa rako hunochinja sei semhinduro yekuchinja kwemazinga ehormone.\nKunze kwekutarisa shuga yeropa zuva nezuva, mupi wako wehutano anogona kukurudzira kuongororwa kwe A1C nguva dzose kuti aongorore huwandu hwako hweshugar yeropa hwemavhiki maviri kusvika matatu apfuura.\nUku ichienzaniswa nekuongororwa kweshugar yeropa zuva nezuva, kuongororwa kwe A1C kunoratidza zviri nani kuti purogiramu yako yekurapa chirwere cheshuga iri kushanda zvakanaka sei. Huwandu hwakakwirira hwe A1C hunogona kuratidza kudiwa kwekuchinja mumishonga yako yemukanwa, purogiramu ye insulin kana purogiramu yekudya.\nChinangwa chako che A1C chinogona kuchinja zvichienderera nemakore ako nezvimwe zvinhu zvakasiyana, senge zvimwe zvirwere zvaunogona kuva nazvo kana kugona kwako kunzwa kana shuga yako yeropa iri pasi. Nekudaro, kune vanhu vazhinji vane chirwere cheshuga, American Diabetes Association inokurudzira A1C iri pasi pe 7%. Bvunza mupi wako wehutano kuti chinangwa chako che A1C chii.\nVanhu vane chirwere cheshuga chemarudzi 1 vanofanira kushandisa insulin kutonga shuga yeropa kuti vararame. Vanhu vazhinji vane chirwere cheshuga chemarudzi 2 kana chirwere cheshuga che gestational vanodawo kurapwa kwe insulin.\nMhando dzakawanda dze insulin dziripo, kusanganisira short-acting (insulin yakajairika), insulin inokurumidza kushanda, insulin yakareba-inoshanda uye sarudzo dzepamusoro. Zvichienderera nezvaunoda, mupi wako wehutano anogona kunyora mhando dzakasiyana dze insulin kuti ushandise masikati neusiku.\nInsulin haigone kunyatsotorwa nemuromo kuderedza shuga yeropa nekuti ma enzymes emuura anokanganisa basa re insulin. Insulin kazhinji inoiswa uchishandisa tsono ine minyoro uye syringe kana peni ye insulin - chishandiso chinotaridzika sepini hombe yekunyora.\nPombi ye insulin inogona kunge iri sarudzo. Pombi iyi chishandiso chine saizi ye foni duku inopfekwa kunze kwemuviri wako. Tube inobatanidza reservoir ye insulin kune tube (catheter) inoiswa pasi peganda rechidumbu chako.\nContinuous glucose monitor, kuruboshwe, chishandiso chinochera shuga yako yeropa ma miniti mashoma uchishandisa sensor inoiswa pasi peganda. Pombi ye insulin, yakabatanidzwa pabhegi, chishandiso chinopfekwa kunze kwemuviri chine tube inobatanidza reservoir ye insulin kune catheter inoiswa pasi peganda rechidumbu. Mapombi e insulin anorongerwa kupa huwandu hwakakodzera hwe insulin otomatiki uye kana uchinge wadya.\nContinuous glucose monitor, kuruboshwe, chishandiso chinochera shuga yeropa ma miniti mashoma uchishandisa sensor inoiswa pasi peganda. Pombi ye insulin, yakabatanidzwa pabhegi, chishandiso chinopfekwa kunze kwemuviri chine tube inobatanidza reservoir ye insulin kune catheter inoiswa pasi peganda rechidumbu. Mapombi e insulin anorongerwa kupa huwandu hwakakodzera hwe insulin nguva dzose uye nechikafu.\nPombi isina tube inoshanda wirelessly iripo zvino. Unoronga pombi ye insulin kuti igovere huwandu hwakakodzera hwe insulin. Inogona kugadziriswa kuti ipe insulin yakawanda kana shoma zvichienderera nezvokudya, nhanho yekuita zvemitambo uye huwandu hweshugar yeropa.\nSystem yakavharwa loop chishandiso chinomiswa mumuviri chinotambanudza continuous glucose monitor kune pombi ye insulin. Monitor inotarisa mazinga eshuga yeropa nguva dzose. Chishandiso chinopa otomatiki huwandu hwakakodzera hwe insulin kana monitor ikaratidza kuti inodiwa.\nFood and Drug Administration yabvumidza masystem akawanda e hybrid closed loop ekushandiswa nechirwere cheshuga chemarudzi 1. Anonzi "hybrid" nekuti masystem aya anoda mamwe maonero kubva kumushandisi. Semuenzaniso, ungada kuudza chishandiso kuti makabhohaidhiretsi mangani akadyiwa, kana kusimbisa mazinga eshuga yeropa nguva nenguva.\nSystem yakavharwa loop isingade chero kupindira kwemushandisi haisipo zvino. Asi zvimwe zvemasystem aya zviri mukuedzwa kwevanachiremba.\nDzimwe nguva mupi wako wehutano anogona kunyora mimwe mishonga yemukanwa kana inoiswawo. Mishonga yechirwere cheshuga inobatsira pancreas yako kuburitsa insulin yakawanda. Vamwe vanodzivirira kugadzirwa nekuburitswa kweshugar kubva muchiropa chako, zvinoreva kuti unoda insulin shoma kutakura shuga kumaseli ako.\nVamwe vanovhara basa rema enzymes emuura kana emudumbu anoputsa makabhohaidhiretsi, kudzikisira kunyura kwavo, kana kuita kuti tishu dzako dzive ne insulin. Metformin (Glumetza, Fortamet, vamwe) kazhinji ndiyo mishonga yekutanga inonyorwa ye chirwere cheshuga chemarudzi 2.\nRimwe rudzi remishonga inonzi SGLT2 inhibitors inogona kushandiswa. Inoshanda nekudzivirira itsvo kuti isazodzosera shuga yakachinjwa muropa. Panzvimbo pezvo, shuga inobviswa mumukaka.\nKune vamwe vanhu vane chirwere cheshuga chemarudzi 1, kupandidzwa kwe pancreas kunogona kuva sarudzo. Kupandidzwa kwe islet kuri kudzidzwawo. Nekupandidzwa kwakabudirira kwe pancreas, hauchazoda kurapwa kwe insulin.\nVanhu vamwe vane chirwere cheshuga chemarudzi 2 vane mafuta akawandisa uye vane body mass index yakapfuura 35 vanogona kubatsirwa ne marudzi emishonga yekuderedza uremu. Vanhu vakaita gastric bypass vakaona kuvandudzika kukuru mumazinga avo eshuga yeropa. Asi njodzi dze nguva refu uye mabhenefiti emushonga uyu we chirwere cheshuga chemarudzi 2 hazvisati zvazivikanwa.\nKutonga huwandu hweshugar yeropa rako kunokosha kuchengeta mwana wako aine hutano. Inogonawo kukudzivirira pakukonzera matambudziko panguva yekuzvara. Kuwedzera pakudya kwakanaka uye kuita zvemitambo nguva dzose, purogiramu yako yekurapa chirwere cheshuga che gestational inogona kusanganisira kuongorora shuga yako yeropa. Muzviitiko zvimwe, unogona kushandisawo insulin kana mishonga yemukanwa.\nMupi wako wehutano achaongorora huwandu hweshugar yeropa rako panguva yekuzvara. Kana shuga yako yeropa ikakwira, mwana wako anogona kuburitsa insulin yakawanda. Izvi zvinogona kutungamira kune shuga yakaderera yeropa mushure mekuberekwa.\nKurapa kwe pre-diabetes kazhinji kunosanganisira kusarudza mararamiro ehutano. Aya maitiro anogona kubatsira kudzosera huwandu hweshugar yeropa rako kune zvakajairika. Kana zvingadzivirira kukwira kusvika kumazinga anoonekwa muchirwere cheshuga chemarudzi 2. Kuchengeta uremu hwakakodzera kuburikidza nekuita zvemitambo nekudya kwakanaka kunogona kubatsira. Kuita zvemitambo kwemaminitsi anenge 150 pavhiki uye kurasikirwa neanenge 7% yeuremu hwemuviri kunogona kudzivirira kana kunonoka chirwere cheshuga chemarudzi 2.\nZvinhu zvakawanda zvinogona kukanganisa shuga yako yeropa. Matambudziko anogona dzimwe nguva kuuya anoda kutarisirwa nekukurumidza.\nShuga yakakwira yeropa (hyperglycemia muchirwere cheshuga) inogona kuitika nezvikonzero zvakawanda, kusanganisira kudya zvakawanda, kurwara kana kusatora mishonga yakakwana inoderedza shuga. Tarisa huwandu hweshugar yeropa rako sezvakarayirwa nemupi wako wehutano. Uye tarisa zviratidzo zveshuga yakakwira yeropa, kusanganisira:\n- Kuenda kuchimbuzi kazhinji\n- Kunzwa nyota kupfuura zvakajairika\n- Kuona kusapfava\n- Kuneta (kuneta)\n- Kurwadziwa kwemusoro\n- Kushatirwa\nKana uine hyperglycemia, uchada kugadzirisa purogiramu yako yekudya, mishonga kana zvose zviri zviviri.\nDiabetic ketoacidosis chirwere chakakomba chechirwere cheshuga. Kana maseli ako akashomeka simba, muviri wako unogona kutanga kuputsa mafuta. Izvi zvinoita asidhi ane chepfu anozivikanwa se ketones, anogona kuunganidzwa muropa. Tarisa zviratidzo zvinotevera:\n- Kusvotwa\n- Kurutsa\n- Kurwadziwa kwemudumbu (abdominal)\n- Kunhuhwirira kwakanaka, kwemichero mufema rako\n- Kushomeka kwefema\n- Muromo wakaoma\n- Kushaya simba\n- Kusanzwisisa\n- Coma\nUnogona kuongorora mukaka wako kuti uwane ketones yakawandisa ne ketones test kit yaunogona kuwana pasina chinyorwa. Kana uine ketones yakawandisa mumukaka wako, taura nemupi wako wehutano nekukurumidza kana kutsvaga kurapwa kwekukurumidza. Iyi mamiriro acho akajairika kune vanhu vane chirwere cheshuga chemarudzi 1.\nHyperosmolar syndrome inokonzerwa nehuwandu hwakakwira hweshugar yeropa hunoshandura ropa kuti rive gobvu uye rinonamira.\nZviratidzo zvemamiriro ezvinhu anotyisa aya anosanganisira:\n- Kuverenga kweshugar yeropa kupfuura 600 mg / dL (33.3 mmol / L)\n- Muromo wakaoma\n- Nyota yakanyanya\n- Fever\n- Kusuruvara\n- Kusanzwisisa\n- Kurasikirwa nekuona\n- Hallucinations\nIyi mamiriro anoonekwa kune vanhu vane chirwere cheshuga chemarudzi 2. Kazhinji inoitika mushure mechirwere. Fonera mupi wako wehutano kana kutsvaga kurapwa kwekukurumidza kana uine zviratidzo zvemamiriro ezvinhu aya.\nKana huwandu hweshugar yeropa rako hukaderera pasi pechinangwa chako, kunzi shuga yakaderera yeropa (diabetic hypoglycemia). Kana uri kutora mishonga inoderedza shuga yako yeropa, kusanganisira insulin, huwandu hweshugar yeropa rako hunogona kudonha nezvikonzero zvakawanda. Izvi zvinosanganisira kusapotsa kudya uye kuita zvemitambo yakawanda kupfuura zvakajairika. Shuga yakaderera yeropa inoitikawo kana ukatora insulin yakawanda kana mishonga yakawanda inoderedza shuga inokonzera kuti pancreas ichengetedze insulin.\nTarisa huwandu hweshugar yeropa rako nguva dzose uye tarisa zviratidzo zveshuga yakaderera yeropa, kusanganisira:\n- Kupererwa neperspiration\n- Kuchema\n- Kushaya simba\n- Nzara\n- Kuora musoro\n- Kurwadziwa kwemusoro\n- Kuona kusapfava\n- Heart palpitations\n- Kushatirwa\n- Kutaura kusapfava\n- Kusuruvara\n- Kusanzwisisa\n- Kuora mwoyo\n- Kuita seizures\nShuga yakaderera yeropa inorapwa zvakanaka nemakabhohaidhiretsi ayo muviri wako unogona kunyura nekukurumidza, senge muto wemichero kana glucose tablets.

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